Relationships: Overcoming Retroactive Jealousy

Retroactive jealousy is a problem in many relationships. This type of jealousy can occur for  people with any attachment style, but it's especially common for people who have an anxious attachment style.

Relationships: Overcoming Retroactive Jealousy

What is Retroactive Jealousy?

Retroactive jealousy involves feeling threatened or insecure about a partner's past romantic relationships.

Retroactive jealousy has the following characteristics:

• Emotional Distress: Feeling anxious, angry or resentful of your partner's previous relationships--even though your partner is no longer involved in these relationships

• Obsessive Thoughts: Recurring and unwanted thoughts about your partner's prior relationships

Overcoming Retroactive Jealousy

• Intrusive Behaviors: Including obsessively checking your partner's phone or computer, following your partner's social media obsessively, tracking your partner's whereabouts with a tracker or questioning your partner repeatedly about their past or questioning whether they have had any thoughts or contact with their prior partners

• Compulsive Behaviors: Feeling compelled to engage in certain behaviors to try to control or prevent your partner from having any contact or even thoughts about their previous partners

• Difficulty Accepting Your Partner's Past: Difficulty accepting that your partner had a life with experiences that didn't include you

• Fear of Abandonment: Fear that their partner will leave you

How is Retroactive Jealousy Related to An Anxious Attachment Style?

As previously mentioned, retroactive jealousy can be related to any attachment style, but it's especially difficult for people with an anxious attachment style.

Overcoming Retroactive Jealousy

An anxious attachment style can lead to excessive worry and insecurity about the relationship.

People who experience retroactive jealousy are fixated on their partner's prior relationships or experiences that didn't include them.

Potential Causes of Retroactive Jealousy

• Insecurity: Lack of confidence, low self esteem, lack of trust in a partner

• Past Relationship Experiences: Prior relationship trauma: Infidelity, a partner maintaining contact with prior partners where the boundaries were unclear and other related issues

• Family of Origin Experiences: Including (but not limited to): Growing up with one or both parents who criticized or invalidated you; physical abuse, childhood emotional neglect; one or both parents engaging in infidelity; emotional or financial instability; being a parentified child; parental alienation, alcohol or drug abuse and other related problems

Clinical Vignette

The following clinical vignette, which is a composite of many cases to protect confidentiality, illustrates how retroactive jealousy has a negative impact on a relationship and how psychotherapy can help:

Brenda

After her boyfriend, Joe, gave her an ultimatum to either get help in therapy or he would end their relationship, Brenda sought help from a licensed mental health professional.

Overcoming Retroactive Jealousy

She told her therapist that, objectively, she knew her boyfriend wasn't cheating on her, but whenever she thought about his prior relationship with another woman, she felt extremely jealous of that  relationship, highly anxious and insecure.

She tried not to act on her jealousy but, against her better judgment, there were times she couldn't contain her feelings and she would question her boyfriend relentlessly about whether he ever thought about his prior girlfriend, whether he thought his prior girlfriend was more attractive than her, how his relationship with his prior girlfriend compared to their relationship and whether he would ever leave her for his prior girlfriend.

According to Brenda, at first, Joe tried to patiently reassure her, but no matter how much he tried to reassure her, she never felt any emotional relief. His reassurances would lead her to ask more detailed questions to the point where, even though they were spending hours talking about this, these talks only made her want more reassurances.

When Joe tried to set limits with Brenda about these conversations, she felt ambivalent. On the one hand, when she could calm herself, she realized she was being obsessive for no apparent reason but, on the other hand, she couldn't control her obsessive thoughts and behaviors and she felt compelled to keep questioning Joe.

According to Brenda, when Joe found out that Brenda was following his ex-girlfriend on social media to see if there were any pictures of Joe and his ex online, he told Brenda that her jealousy was getting out of hand. He also tried to reason with her that it seemed the more time Brenda spent on his ex's social media, the worse she felt--even though she found no evidence that Joe and his ex were spending time together.

Brenda told her therapist that the last straw for Joe was when Brenda hacked into his email and texts. She found an old text from Joe's ex from years before he began seeing Brenda. The text had an old picture of Joe and his ex smiling at the beach.

Brenda explained to her therapist that she couldn't contain her jealousy about the photo and, even though she knew she shouldn't have hacked into his account, she confronted him about the text with a barrage of questions: "Why are you keeping this photo?" Do you think your ex is prettier than me?" "Do you ever have fantasies about your ex?"

At that point, Joe told Brenda that he didn't even remember having this old photo on his phone. He agreed to delete the photo if Brenda agreed to get help in therapy for her excessive jealousy. He told her that if she didn't get help, he would end the relationship.

Brenda told her therapist that Joe's ultimatum made her feel even worse because she feared that if Joe broke up with her, he would go back to his ex.  Even though she could see how she was creating problems in her relationship with her irrational jealousy, she felt she couldn't stop her obsessive thoughts and compulsive behavior including her obsessive questioning of Joe.

Her therapist became aware that Brenda's anxious attachment style stemmed from an unstable childhood home with both parents engaging in infidelity, reckless spending, and a constant stream of invalidating messages they gave Brenda about her looks and her intelligence. They also told her she was worthlessness and she would never find a husband because no one could ever love her. They also compared her negatively to her older sister (see my article: Comparison and Judgment Are the Thieves of Joy).

    Therapy Treatment Plan

Her therapist proposed both short-term and longer-term therapy work:

    Short Term Work

The short term work involved Brenda developing increased self awareness and better coping skills including:

• Doing Mindfulness Meditation: Her therapist told her to practice 15 minutes of mindfulness meditation with a beginner's mindfulness recording twice a day (see my article: Mindfulness Meditation: Coping With Painful Emotions).

• Focusing on the Present: As she developed her mindfulness skills, Brenda was encouraged by her therapist to bring her mind to the present moment whenever she felt herself beginning to have obsessive thoughts about her boyfriend's ex--even if she had to do this more than a hundred times a day (see my article: Being in the Present Moment).

Keeping a Journal

• Keeping a Journal: Brenda was encouraged to keep a journal where she reflected on her thoughts and feelings including both her irrational and objective thoughts and feelings related to her retroactive jealousy (see my article: Journal Writing to Relieve Stress and Anxiety).

• Developing Increased Self Esteem and Confidence Through Confidence Boosting- Activity: Brenda's therapist encouraged her to engage in activities that made her feel good about herself, including artwork which Brenda enjoyed and felt confident doing. She also instructed Brenda to write down times when she felt good about herself both in and outside her relationship.

• Setting Limits With Herself: Rather than relying on her boyfriend to set limits, her therapist encouraged Brenda to set limits for herself so she wouldn't spiral into relentless and obsessive thoughts, feelings and questioning of her boyfriend. Her therapist also asked Brenda to write in her journal whenever she found herself on the brink of the spiraling into obsession--rather than questioning her boyfriend as a way to practice emotional containment (see my article: Practicing the Container Exercise).

Even though she still felt very jealous of Joe's ex, Brenda was able to reduce her obsessive thoughts, feelings and questioning of her boyfriend by using the tools her therapist recommended. 

Along the way, she had some setbacks, but both Brenda and Joe noticed the positive change in her and he encouraged her to continue therapy.

    Longer Term Work

The longer term work in therapy involved helping Brenda to overcome the root of her retroactive jealousy including her family of origin trauma using a combination of various trauma therapy modalities:

• EMDR (Eye Movement Desensitization and Reprocessing) Therapy
  

• AEDP (Accelerated Experiential Dynamic Psychotherapy)
  

• Somatic Experiencing
  

• Parts Work Therapy: including Ego States Therapy and Internal Family Systems (IFS)
  

The work was neither quick nor easy, but Brenda made steady progress with some certain missteps along the way (see my article: Setbacks Are a Normal Part of Healing in Therapy).

Conclusion

Retroactive jealousy is a complex problem that affects many relationships.

As illustrated in the composite vignette, retroactive jealousy has the potential to ruin a relationship.

In many cases, retroactive jealousy doesn't get better without professional help. Without professional help, it can get worse.

Certain self help strategies outlined above (e.g., focusing on the present, meditation and engaging in confidence-boosting activities, etc.) can be help to manage the symptoms of retroactive jealousy. But what is most helpful is getting to the root of the problem--whether the root of the problem stems from your family of origin, prior relationships or other related causes.

Getting Help in Therapy

If you feel your excessive jealousy is having a negative impact on your well-being and your relationship, seek help from a licensed mental health professional who has an expertise in this issue (see my article: What is a Trauma Therapist?).

Getting Help in Therapy

Overcoming retroactive jealousy requires a commitment to personal growth, patience, perseverance and a willingness to work through your challenges.

Rather than struggling on your own, seek professional help so you can lead a more peaceful and meaningful life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing, Parts Work and Sex Therapy.

I have over 20 years of experience helping individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles

Overcoming Jealousy

Are You Arguing About Your Partner's Sexual History Before You Were in a Relationship With Him?

How to Reduce Reactivity in Your Relationship

Floodlighting: How to Stop Oversharing During the Early Stage of Dating

The term "floodlighting" was originally coined by Dr. Brene Brown, social scientist and researcher.

With regard to dating, floodlighting refers to someone who overwhelms their date with too much emotional vulnerability early on as a way to either speed up the emotional connection, test them or try to get validation and reassurance by revealing very personal or traumatic details about their life (Understanding Personal Boundaries: Rigid, Porous and Healthy Boundaries).

Floodlighting: Oversharing on a Date

Although the objective of floodlighting might be to develop immediate emotional intimacy, the result is usually just the opposite: The other person is overwhelmed and turned off (see my article: Dating Challenges: What Should You Talk About on a First Date?).

Characteristics of Floodlighting

Here are some of the characteristics of floodlighting:

• You Overshare Very Personal Information or Traumatic Events Immediately: During the early stage of dating, you share very personal information about yourself. This might involve early trauma, like domestic violence in your childhood home, how devastated you were by your parents' divorce, details about past breakups, your mental health problems, and so on. You're hoping that by sharing your very personal experiences, your date will also share similar information so you can form a close personal bond immediately. But when you stop telling your stories, you probably notice that your date's eyes are glazed over and they look completely overwhelmed, confused or bored, which makes you feel ashamed. 

Floodlighting: Oversharing on a Date

• You Expect Instant Emotional Intimacy: After you share very personal stories or traumatic events from your life, if you expect your date to do the same, you might be disappointed. If your date feels overwhelmed with your oversharing, they might respond with silence, confusion, annoyance or indifference, which isn't what you were hoping for from them.  You might not realize that emotional intimacy develops over time--not during the early stage of dating. The other person might feel pressured to share intimate details about their life too--before they're ready to do this. Even if your date reciprocates by sharing intimate details about their personal life after hearing you overshare, you might think you have developed immediate emotional intimacy, but you and your date haven't established a foundation of trust, which is necessary for real emotional intimacy. 

• You Overshare Very Personal Information to Test Your Date's Acceptance: If you use emotional vulnerability as a way to test if your date accepts you, you might create pressure on your date. Instead of creating a genuine emotional connection, you come across as needing reassurance from someone who hardly knows you. In the early stage of dating, this can be a turn-off for your date, who might resent being tested in this way.

Clinical Vignette

The following clinical vignette, which is a composite of many cases to protect confidentiality, illustrates the problem with floodlighting while dating and how psychotherapy can help:

Rena

Rena began dating two years after her tumultuous divorce. 

She met many single men who were interested in her, but things seemed to go nowhere after the first date.

After several disappointing experiences, Rena sought help in therapy to understand why these dates fizzled out so quickly.

Floodlighting: Oversharing on a Date

After hearing about several disappointing experiences, Rena's therapist noticed a pattern: Rena would talk about how awful her ex-husband had behaved towards her. She would go into details about how traumatic it was to be married to him. She also recounted several early traumatic childhood experiences on those first dates.

Her therapist realized that, due to Rena's early traumatic history, Rena never learned to develop appropriate personal boundaries. As a result, she didn't know how to keep things light on a first date.

Her therapist worked with Rena to develop the necessary skills to be more self aware during these initial dates. 

As a trauma therapist, she also helped Rena to work through her trauma so she no longer felt the need to seek reassurance and validation from people she hardly knew (see my article: What is a Trauma Therapist?).

Over time, Rena learned how to be self aware. She also learned how to have casual conversations, pick up on social cues from others and, eventually, develop a foundation of trust with a man she was dating for several months.

How to Stop Floodlighting

• Develop curiosity and self awareness so you can ask yourself why you're oversharing during the early stage of dating (see my article: What is Self Reflective Awareness and Why Is It Important For You?).

• Pick up on social cues from your date to recognize if you're oversharing and when it's time for you to shift the conversation to keep it light.

Develop Self Awareness and Pick Up on Social Cues

• If you feel the inclination to overshare, ask yourself what you're expecting in return: Are you looking for acceptance and reassurance from someone you hardly know?

• Ask yourself if you're creating an unbalanced dynamic between you and your date. If so, be aware of the verbal and nonverbal cues you're getting from your date about this dynamic and stop oversharing.

• Recognize if you're trying to develop emotional intimacy too early. What you might be creating, instead, is a false sense of intimacy.

• Wait to share very personal details of your life, including trauma, until you and your date have established a foundation of trust between you.

• Find ways to validate and reassure yourself so you're not looking for validation and reassurance from your date during the early stage of dating.

Getting Help in Therapy

Many people who have experienced trauma in early childhood overshare very personal details about their life n a way that reveals their boundaries were violated at a young age. 

They don't have a sense of healthy boundaries because they never helped to develop boundaries in their family (see my article: How to Set Boundaries Without Feeling Guilty).

Getting Help in Therapy

If you have a tendency to overshare during the early stage of dating, you could benefit from working with a licensed mental health professional.

A skilled therapist can help you to understand the underlying issues that cause you to overshare.  She can also help you to develop the tools and strategies to communicate in a healthy way.

In addition, an experienced psychotherapist can help you to develop the confidence and interpersonal skills you need to maintain appropriate boundaries.

Rather than struggling on your own, seek help from a skilled therapist so you can lead a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing, Parts Work and Sex Therapist.

I have over 20 years of experience as a trauma therapist helping individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation,call me at (917) 742-2624 during business hours or email me.

The Anxiety of Waiting For the Other Shoe to Drop Due to Unresolved Trauma

A history of unresolved trauma can affect your outlook on life (see my article: How Trauma Therapy Can Help You to Overcome Unresolved Trauma).

Even when people, who had childhood trauma, overcome adversity and they are no longer struggling under traumatic circumstances in their current life, they can often experience anticipatory anxiety about the future--like they're waiting for the other shoe to drop.

Unresolved Trauma and Anxiety

Many people who haven't had a traumatic childhood can experience this type of anticipatory anxiety after dealing with trauma in adulthood.

Clinical Vignettes

The following clinical vignettes, which are composite cases to protect confidentiality, illustrate how unresolved trauma can create a sense of anticipatory anxiety and foreboding about the future--like waiting for the other shoe to drop:

Sara: Unresolved Trauma and Anxiety

• Sara: When Sara was seven years old, her father's job loss plunged the family into dire financial straits. While her father looked for work, her mother took three jobs just to meet the family's basic needs. Her parents had so much shame about their financial situation that they made Sara promise not to talk about it with anyone outside their immediate family. It took her father two years to find another job that could support the family and, eventually, they were financially stable again. But Sara was profoundly affected by these childhood experiences. As an adult, she had a persistent sense that, at any moment, her circumstances could change and she could experience financial ruin. When her company began layoffs, even though she was assured by her manager that she would be spared, she became so anxious that she sought help in therapy to overcome her anxiety and unresolved trauma (see my article: Why is Unresolved Trauma From the Past Affecting You Now?)

John: Unresolved Trauma and Anxiety

• John: John sought help in therapy after he was treated for prostate cancer. Even though his doctor assured him that he had an excellent chance of living a long healthy life after John was cancer free for two years, John had persistent anxiety about the possibility of the cancer coming back or that he would experience another serious medical problem. Prior to his cancer diagnosis, John had experienced episodes of anxiety whenever he had to make major changes in his life. With regard to his family history, he told his therapist that his mother was an extremely anxious person due to her own unresolved childhood trauma. His mother had a terrible sense of foreboding whenever the family encountered even the possibility of change. When John's father was told his company might relocate down South, his father and mother knew they didn't want to move out of New York City,  so he began looking for another job immediately. John's father wasn't worried about finding a comparable job because he was a much sought after professional. But John's mother became so anxious because she recalled her own family's need to flee from a fascist regime.  Her sense of worry made her sick. Fortunately, the father was able to find another job at a higher paying salary within a relatively short period of time. But the mother continued to experience persistent bouts of anxiety and foreboding. While he was in therapy, John learned the connection between his anxiety and his mother's unresolved trauma (see my article: What is Intergenerational Trauma?).

Ellen: Unresolved Trauma and Anxiety

• Ellen: After Ellen's best friend, Alice, died suddenly from natural causes, Ellen felt like her world was completely shaken. She had never lost anyone close to her and Ellen felt existential dread about the possibility of her own death. Prior to Alice's death, Ellen would have occasional worries about death--even though Ellen was in excellent health. Although she had other close friends, Ellen felt lost without Alice, who had been her best friend since they were in elementary school. After listening to Ellen talk about her grief and her anxiety for a few months, her friends became impatient with her and told her she needed to "move on." But Alice didn't know how to move on. She didn't even know how to mourn. When Ellen sought help in therapy, she told her therapist she had a great childhood, she had loving parents, she had a loving husband and two wonderful adult children. There was no prior trauma in her history that seemed to be getting triggered. Her feeling that any moment the other shoe would drop was related to the loss of Alice, so her therapist helped Ellen to grieve and Ellen felt comfort in being able to process her loss in therapy without any of the judgment she experienced with her friends. After she completed therapy, Ellen felt she had the usual concerns that middle age people have about death, but her concerns didn't feel as catastrophic as they had been when Alice first died. Even though she felt better, she realized that she was forever changed by the loss of her best friend. But with help from her therapist, Ellen began to look forward to upcoming events in her life in a way she wasn't able to do immediately after Alice's death (see my article: Allowing Room For Grief).

Conclusion

In each of the composite vignettes the clients were affected by past or recent unresolved trauma so that they were apprehensive--even when it was clear that there was no need to worry about their current situation.

Traumatic events can create feelings of anticipatory anxiety and foreboding--even when a person's logical mind tells them that there seems to be no apparent reason for these feelings under their present circumstances.

Even though these experiences are common, people who have never experienced anything like this before might not understand. 

Well-meaning friends and family might tell you to "just get over it" or to "move on" and when you can't "move on", they might be surprised or even judgmental. 

Getting Help in Trauma Therapy

If you have unresolved trauma that causes you to experience feelings of anxiety and foreboding, you could benefit from working with a trauma therapist (see my article: What is a Trauma Therapist?).

Getting Help in Trauma Therapy

A skilled trauma therapist can help you to work through unresolved trauma using therapy modalities specifically designed to help clients overcome trauma.

These modalities include (but are not limited to):

• EMDR (Eye Movement Desensitization and Reprocessing) Therapy

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Somatic Experiencing (also known as S.E.)

• Parts Work Therapy (including IFS and Ego States Therapy)

• Hypnotherapy (also known as Clinical Hypnosis)

Rather than struggling on your own, seek help from an experienced trauma therapist so you  can overcome trauma and lead a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Parts Work, Somatic Experiencing and Sex Therapist.

I have over 20 years of experiencing helping individual adults and couples to overcome trauma.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742- 2624 during business hours or email me.

What Are Transactional Relationships?

I've written many prior articles about relationships. I've included a list of a few of them at the bottom of this post.  You can also go to my website to find more under the headings of "Relationships" and "EFT Couples Therapy."

Transactional Relationships

In the current article I'm focusing on transactional relationships (see my article: Are You in a Transactional Relationship?).

What Are Transactional Relationships?

Transactional relationships are relationships where each person does things for the other in anticipation of getting something back in return. 

Transactional relationships are usually conditional in the sense that one or both people have expectations of what they want to get in return based on what they are willing to give. Usually if one or both people aren't getting what they want, the relationship ends.

Transactional relationships are based on reciprocity: An expected give-and-take between partners in the relationship. 

In transactional relationships, individuals prioritize what they can get from their partner, including financial support, social status, sex or other personal needs, over genuine emotional connection.  In that sense, these relationships are often superficial and lacking in emotional depth.

What Are Examples of Transactional Relationships?

The following are some examples of highly transactional relationships:

• Marriages of Convenience: These relationships focus on things like a visa, social status, and financial gain rather than love and genuine emotional connection. 

• Transactional Dating: These are dating relationships where one or both people have an expectation of what they will get in the relationship. An example of this would be that a heterosexual man buys a woman dinner and expects sex in exchange or vice versa. There is little to no emotional connection or commitment.

• Friends With Benefits: Most of these relationships focus on the convenience of sex between the partners with little or no expectation of commitment or emotional intimacy (see my article:  What Are the Pros and Cons of Friends With Benefits?).

Transactional Relationships: Friends With Benefits

• Career-Oriented Relationships: These relationships focus primarily on how their partner(s) can help them advance their career rather than focusing on emotional connection.

Transactional Relationships: Sugar Relationships

• Sugar Relationships (also known as Sugar Dating): These relationships usually involve one person being financially successful and supporting another financially or providing other concrete benefits to another person, who is often younger and more attractive, in exchange for sex or companionship. These are often short-term relationships with little to no expectation of commitment or emotional connection.

What Are the Characteristics of Transactional Relationships?

The following are some of the common characteristics of transactional relationships:

• Expectations: Both partners usually understand the expectations involved. For instance, if one person is paying for dinner with the expectation of sex, the other person is usually aware of this and either goes along with it because this is what they want (or need) or they don't necessarily like it, but they go along with it for their own personal reasons--even when they might feel ambivalent about it (see my article: What is the "Good Enough" Relationship? No, It Doesn't Mean Settling).

• Goal Oriented: There is a goal-oriented mindset in these types of relationships. This can involve financial goals, companionship, sex and so on. There is often little to no emotional spontaneity in transactional relationships. This can leave one or both people feeling lonely in the relationship due to the lack of emotional connection (see my article: Feeling Lonely in a Relationship).

Transactional Relationships: Goal-Oriented Relationships

• Limited or No Emotional Depth: Emotional connection isn't usually the focus of transactional romantic relationships--although this doesn't mean there isn't any emotional connection. It just means it's not the primary focus because of the goal-oriented nature of the relationship (see my article: Vulnerability as a Pathway to Greater Emotional and Sexual Intimacy).

Transactional Relationships: Limited Commitment and Emotional Depth

• Difference in Power Dynamics: There is often a difference in power in these relationships where one person has more power including money, social status or other resources. However, it can be difficult to distinguish who has the power at any given time in certain relationships. For instance, in sugar relationships, even though the younger and more attractive person, who is providing sex or companionship, might appear to have less power, they might actually have more power in certain relationships. They are often the ones who dictate the terms based on their desirability. This is generally true in most transactional relationships. It's not always easy to say who really has the power at any given time especially in transactional relationships and power  dynamics might change (see my article: Are You Giving Away Your Power to Someone Who Doesn't Treat You Well?).

How Can Couples Therapy Help?

If you and your partner are on the same wavelength in a transactional relationship, you might be satisfied, at least for now, with your relationship. 

But if you're not happy with the relationship dynamics and you are either trying to understand the complex dynamic or you want to change the dynamics, you could benefit from seeking help in couples therapy (see my article: What is Emotionally Focused Therapy For Couples (EFT)?).

A skilled couples therapist can help you both to understand the dynamics in your relationship and, if both partners agree, try to make changes so you're both happier.

If there's no possibility of change, an experienced couples therapist can help you to end the relationship with integrity and compassion.

Getting Help in Couples Therapy

If you have been struggling in your relationship, you could benefit from seeking help from a licensed mental health professional who has the expertise to help you with your problem (see my article: What Happens in Couples Therapy?)

Getting Help in Couples Therapy

Rather than struggling on your own, seek help so you can live a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I have over 20 years of experience helping individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Also See My Articles About Relationships

What If Your Partner Isn't Ready For Couples Therapy?

Dating vs Being in a Relationship

Dating For a Lasting Relationship: The Spark vs the Slow Burn

What Do You Need to Feel Closer to Your Partner?

What is Trauma-Related Dissociation?

Daydreaming and dissociation are related to each other, but they differ in terms of their duration, severity and underlying mechanisms.

What is the Difference Between Daydreaming and Dissociation?

Daydreaming is usually a harmless activity where an individual imagines certain people, places or events. 

Daydreaming is Pleasant and Relaxing

Daydreaming is often a pleasant and relaxing experience (unless someone spends an excessive amount of time engaged in it to the detriment of other things in their life). 

Daydreaming, getting absorbed in a book and forgetting the miles driven on a familiar road are all light forms of dissociation.

Dissociation involves a detachment or interruption from either thoughts, feelings, current surroundings, memories or an experience of oneself.  Under ordinary circumstances, light dissociation is a temporary detachment or interruption.

Dissociation is a common response to stress.

Dissociation is also a common response to trauma and, under severe conditions, it's a response to posttraumatic stress disorder (PTSD) and Dissociative Identity Disorder (DID) which was formerly known as Multiple Personality Disorder.

Dissociation is on a continuum. Mild dissociation can last up to a few minutes minutes and, on the other end of the continuum, severe dissociation can last days or longer.

Comparing daydreaming to more serious dissociation: Ordinary daydreaming is usually not disruptive to one's life, but severe dissociation can be a distressing experience.

What is the Connection Between Trauma and Dissociation?

Dissociation is an unconscious defense mechanism.

During a traumatic event, the fight or flight response can get activated.

Trauma-Related Dissociation

If an individual is unable to fight or flee, the freeze response gets activated as a way to protect the individual through dissociation.  

One example of the freeze response is the "deer in the headlights" reaction. 

So, for instance, if someone is walking down a deserted street and someone suddenly jumps out to attack them, the person who was walking alone might freeze as part of being shocked.  

The freeze response is an unconscious defense mechanism. As part of the freeze response, the person who is shocked might be unable to speak, run or fight because they are immobilized by the traumatic shock of the attack.

What Are the Signs of Dissociation?

Signs and symptoms of dissociation include (but are not limited to):

• Feeling disconnected from your body, also known as an "out of body experience" (depersonalization)

• Feeling separate from the environment around you. The world around you might feel unreal or distorted (derealization)

• Experiencing lightheadedness, dizziness or a racing heart

• Feeling emotionally numb or disconnected

• Having difficulty feeling emotions

• Feeling unsure of who you are

• Forgetting significant events or times in your life or personal information which could include big gaps in your memories, including memory gaps in your family history

• Feeling disconnected from your body so that you don't feel pain when you would normally expect to feel pain

• Experiencing flashbacks including emotional flashbacks

What Are Some Ways to Cope With Dissociation? (non-DID dissociation)

Some of the following activities might be helpful:

• Writing in a journal
  

• Practicing mindfulness
  

Mindfulness and Square Breathing to Cope With Dissociation

• Practicing Square Breathing
  

• Making self care a priority
  

Getting Help in Trauma Therapy

The suggestions above for coping with dissociation can be good strategies to manage your dissociation, but if you want to overcome trauma-related dissociation, you need to seek help in trauma therapy (see my article: What is a Trauma Therapist?).

Getting Help in Trauma Therapy

Regular talk therapy often has limited success for working through unresolved trauma, which is why certain forms of trauma therapy, like EMDR, AEDP, Somatic Experiencing, IFS, Ego States Therapy and clinical hypnosis, were developed.

All of the above modalities are Experiential Therapies (see my article: Why Experiential Therapy is More Effective Than Talk Therapy to Overcome Trauma).

Unresolved trauma can linger for months, years or even a lifetime, so getting help in trauma therapy sooner rather than later is important.

Once you have worked through unresolved trauma, you can lead a more fulfilling life.

About Me

I am a licensed New York psychotherapist, hypnotherapist, EMDR, AEDP, Somatic Experiencing, IFS, Ego States and Sex Therapist.

With over 20 years of experience as a trauma therapist, I have helped many individual adults and couples work through trauma.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Why is Family History Important in Psychotherapy?

New psychotherapy clients, who have never been in therapy before, often ask why therapists ask about family history as part of the beginning phase of therapy.

Talking About Family History as a First Step in Therapy

Why is Family History Important in Psychotherapy?

Here are the main reasons why asking about family history is so important to the success of therapy:

• Family Dynamics: The family dynamics often reflect how someone in that family sees themself and how they interact in their relationships with others, including romantic relationships. Family dynamics, which are internalized at an early age, often remain unconscious until someone begins therapy and learns to see connections between their early experiences and their adult relationships (see my article: Children's Roles in Dysfunctional Families).

• Attachment Patterns: Attachment patterns developed at an early age tend to affect adult relationships. Similar to internalized family dynamics, attachment patterns are often unconscious so that a client is often unaware of it until they develop insight about the affect of these dynamics in therapy (see my article: How Your Attachment Style Can Affect Your Relationship).

Attachment Styles Develop Early in Childhood

• Transmission of Psychological Trauma: It's not unusual for there to be unprocessed trauma that gets transmitted from one generation to the next in a family. When an individual gets help in trauma therapy, they can see the origins of their trauma and process the trauma so it no longer affects them and it doesn't get passed on to the next generation (see my article: What is Intergenerational Trauma?).

• Learned Behavior: Individuals often learn patterns of behavior early in their childhood. They might not be aware they learned this behavior, including how to express emotions, how to deal with stress and how to interact with others, until they become aware of these dynamics in therapy. During therapy their therapist helps them to make connections between their current behavior and what they learned (explicitly or implicitly) early in life (see my article: Developing Skills to Manage Your Emotions).

• Genetic Factors: Certain mental health conditions have a genetic component. This includes anxiety, depression, ADHD (Attention Deficit Hyperactivity Disorder), autism spectrum disorder and other mental health conditions. Knowing about the possibility of genetic factors can help a client to understand their risk for developing these conditions, help with early detection and make informed mental health treatment decisions.

How Do Psychotherapists Use Family History Information?

Different therapists use family history information in different ways.

As an Experiential therapist with a specialty in trauma therapy, I like to get a family history during the early phase of therapy.  This is part of history taking which, depending upon what the client wants to work on, includes family history, current family dynamics, the history of other significant relationships as well as the history of the presenting problem.

By having the family history, the client and I can work towards:

• Identify recurring patterns

• Understand the context of the client's current problems

• Develop coping skills, strategies and internal resources to do trauma therapy.

• Process the trauma using various forms of therapy (see below)

Conclusion

Getting a family history during the beginning phase of therapy is an important first step in helping clients to overcome their emotional challenges.

Experiential therapists know the client's awareness and insight isn't enough to heal (see my article: Healing From the Inside Out: Why Insight Isn't Enough).

Insight is only the first step before the therapist helps clients to work through and overcome their problems through a variety of Experiential Therapy including:

• EMDR Therapy (Eye Movement Desensitization and Reprocessing)

• Somatic Psychotherapy
  

• AEDP (Accelerated Experiential Dynamic Psychotherapy)

• Hypnotherapy (also known as Clinical Hypnosis
  

• Parts Work Therapy (Internal Family System also known as IFS as well as Ego States Therapy)

• Contemporary Psychodynamic Psychotherapy (also known as depth therapy)

All of these Experiential therapy modalities are effective types of therapy depending upon the client and the presenting problem.

Getting Help in Therapy

If you're struggling with emotional issues you have been unable to resolve on your own, you could benefit from working with a licensed mental health professional.

Getting Help in Therapy

Rather than struggling on your own, seek help from a skilled psychotherapist so you can lead a more fulfilling life.

About Me

I am a licensed New York City psychotherapist, hypnotherapist, EMDR, AEDP, EFT (for couples), Somatic Experiencing and Sex Therapist.

I have over 20 years of experience working with individual adults and couples.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.

Compulsive Gambling and "March Madness"

The NCAA Division Basketball Tournament, also known as "March Madness," is just around the corner. 

March Madness is one of the most challenging times for compulsive gamblers. Sports gambling has become a very popular pass time, especially among college students. Online gambling is a big business. 

Compulsive Gambling and March Madness

Online gambling brought in over $5 billion from gamblers, some as young as high school age. High school and college students, who are very savvy about using these online sites, are getting caught up in gambling, and many of them are becoming compulsive gamblers.

You might think that completing a tournament bracket for $5 or $10 is harmless, but for some people, it's the beginning of compulsive gambling. Just like some people can have a couple of drinks and not become an alcoholic, some people can gamble and not become a compulsive gambler. But for many people, it's just the beginning of a downward spiral on a slippery slope.

What Are Some of the Warning Signs of Compulsive Gambling?

• Preoccupation with gambling: thinking about it frequently, talking about it a lot, checking the stats often

• Feeling a "high" or "rush" before placing a bet

• A need to bet increasing amounts of money to get that same "high" or "rush"

• Repeated attempts to stop that are unsuccessful

• A need to continue gambling when you're winning

• A need to return to gambling to chase losses

• Feeling irritable and uncomfortable when you try to stop

• Jeopardizing family relationships or your job due to gambling activities

• Borrowing money from family and friends due to gambling activities

• Using gambling activities as a maladaptive coping strategy to deal with stress or uncomfortable feelings or situations

If you have one or more of the above warning signs and symptoms, you have a compulsive gambling problem and you need help. Just like any other addictive or compulsive behavior, compulsive gambling is a progressive disorder that usually gets worse over time.

For more information about compulsive gambling, go to: http://www.gamblinghelp.org

About Me
I am a licensed psychotherapist in New York psychotherapist, hypnotherapist, EMDR, EFT (for couples), AEDP, Somatic Experiencing and Sex Therapist. 

I have helped many clients to overcome their addictive and compulsive behavior so they can lead fulfilling lives.

To find out more about me, visit my website: Josephine Ferraro, LCSW - NYC Psychotherapist.

To set up a consultation, call me at (917) 742-2624 during business hours or email me.